Health Promotion Models

Elements of the ecological systems theory

Individual, interpersonal, environment, society/public policy

When using the ecological systems theory look at _____ and ____ at each level of the model

barriers and facilitators

Components of the Health Belief Model

Individual Perceptions, Modifying factors, likelihood of action

Examples of individual perceptions (Health Belief Model)

Perceived susceptibility, severity, benefits of preventative action, barriers to prevent action

Examples of modifying factors (Health Belief Model)

demographic variables, sociophysiological variables, cues to action

examples of situations that can be applied to the health promotion model

smoking cessation programs, HIV testing, HPV vaccination, senior walking program

Elements of Social Cognitive Theory

interaction b/w personal factors, environment, and behavior

Key concepts of social cognitive theory

reciprocal determinism, environment and situation, behavioral capacity, observational learning, reinforcements, expectations, expectancies, self-regulation, self-efficacy

Relationship b/w the individual, environment, and behavior

reciprocal determinism

the impact of a positive or negative response on adoption of a new behavior

reinforcements

the expected result

expectations

the perceived value of a behavioral change

expectancies

the use of goals and monitoring to control behavior; the target individual’s social network can be used to improve success

self-regulation

a measure of self-confidence in success'; beleif in the ability to achieve a goal

self-efficacy

the concept that an individual can learn to be successful at a new task or skill through observation and modeling

observational learning

the potential to be successful in behavior change based upon the skills and knowledge of the target individual

behavioral capacity

stages of the transtheoretical model

Precontemplation→ contemplation→ preparation→ action→ matinence

______ must match the patient stage of change in the transtheoretical model

patient education

Example of the precomtemplation stage for initiating a night splinting program for a child with DMD

education required

Example of the comtemplation stage for initiating a night splinting program for a child with DMD

have not been to the clinic and not ready to call the orthotist

Example of the preparation stage for initiating a night splinting program for a child with DMD

will work w/ therapist and have orthodic made this month; has prescription

Example of the action stage for initiating a night splinting program for a child with DMD

have the splint, wear scheduling is variable w/ fight over donning the braces

Example of the matinence stage for initiating a night splinting program for a child with DMD

braces worn nightly

how would you focus an educational session for an audience all in the precontemplation/contemplation stages of TTM model?

more focus on education and risks/benefits

how would you focus an educational session for an audience all in the preparation stage of TTM model?

Provide more action steps/tools

stages of the precaution adoption process model

unaware of issue→ unengaged by issue→ decided about acting→ decided not to act (stage 4 different offshoot)→ decided to act→ acting→ matinence